Junior Claim Analyst

Kualifikasi :
Bachelor Degree, major : Nursing or Public Health
Having min. 1 year of experience
Job Description :
Claims Evaluation by reviewing and analyzing insurance claims to ensure they meet the criteria outlined in the policy agreement and examining documentation, medical records, and other relevant information
Policy Interpretation to determine coverage and benefits applicable to each claim. This includes understanding the terms, limitations, and exclusions of the policy
Decision Making on the approval, denial or adjustment of claims based on the information gathered and in accordance with company policies and regulations